| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $22.39 | $24.55 | $102.33 | |
BCBS
| Facility | $177.83 | $177.83 | $177.83 | |
Health Alliance Plan
| Facility | $15.14 | $25.12 | $40.74 | |
United
| Facility | $141.25 | $141.25 | $141.25 |